HomeMy WebLinkAbout12-13632 CITY OF ZEPHYRHILLS
5335-8TH SIREET
(s13)�so-oo20 13632
ANNUAL FIRE PROTECTION MAINTENANCE -
Permit Number: 13632 Address: 7306 GALL BLVD
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 35-25-21-0010-08800-0000
Improv. Cost:
Date Issued: 11/20/2012 Name: TOWNVIEW RETAIL LLC
Total Fees: 25.00 Address: 725 CONSHOHOCKEN STATE RD
Amount Paid: 25.00 BALA CYNWYD, PA 190042102
Date Paid: 11/20/2012 Phone:
Work Desc: FPM- FIRE SPRINKLER QUARTERLY-TOWNVIEW
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Chapter 633, Florida Statutes,authorizes the City to charge and oollect user fees to pay for the aosts of fire
prevention and protection related activities such as inspecNons,plan review,administrative fees,and other
costs related bo the aforementloned.
Complete Plans, Specifications and Fee Must Accompany Application. Commencement of work without written approval of
the Fire Department's Fire Marshal or required permits or opening up for wmmercial activity without an approved final
inspection shall be charged double permit fee per day of operation or a minimum of$100.00, whichever is greater. All
work shall be performed in aaordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN A7TORNEY BEFORE RECO IN Y R NOTICE
OF COMMENCEMENT." '
PERMIT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
- 813-780-0020 C��y o, Zephyrh���s F��e Fa„-813-780-0021
Pe�m,�ApplicaLOn
�d«R�«��eh P�o�e co�.a«.��Pe�m,� 813 621 1357
ow���, N�m� TOWNVIEW RETAIL LLC ow�e�=Pno�e N�mee� �-1 �� �
ow���,Add�e,� 725 CONSHOHOCKEN STATE ROAD, BALA CYNWYD, PA 19004-2102
F�e S,mP�e L���n��n��NamF T���eho�d��Pno„ mee. � � ��
F��S,mP�e T���eho�dP.Add..�ss e N�
��e A�dfeSS 7306 GALL BLVD, ZEPHYRHILLS, FL �o # �
s�e o,�,,,o� CITY OF ZEPHYRHILLS Pafe,� 35-25-21-0010-0880-0000
� B��-H:,=a.d Waz«S�o..,9� -ANNUAL � F� ��o„Te„�
� C�t o Etln�,.'n K�«n��Ho�d/D��r � Haoa9do�a Mao^.�a (T,e�II�.RQ Fa�����Y)ANNUAL
� Em .9�„�y Ge,,,.�d�o.<30 kw � LP/NaI,,. Ga=-I.,��a�����o„
P a�
� Em �go'A`G^����^`A a30ekw � LP/Nas o�a�GSe�mANNUALSaIe
F��. P� Ma -ANNU�AL � � h � P�a ,A, e�,,-ANNUAL /� �'��'2� L
Sp.,�k�E� � �Y ❑ ❑ B � R�«ea��o„a�B„�„ r
Fire/'�lerm ❑ ❑ ❑ ❑ � ❑ Sparklcrs
Hond l.ia,�nin� ❑ ❑ ❑ ❑ � ❑ SPr�nklcr SYcrem �nstallations
�1
Hootl Suppression ❑ ❑ ❑ ❑ � ❑ Scen inkier S s�
L�� apipes �Spr y
� F��e A���m I„�.a�����o� � To�S' Ro P.�.,g/Ta�Ke«��
F,. P,.m„ � Wa �T,. S�o ��e ANNUAL
� F��e Wo�k,
� Fiammapie Appi��a�,o„-ANNUAL $Z�J.00 Vawac�o„ or P�o
�ecc
F�P�T�.,k�
� �ther
Con�ra ctor Co m pa n y
s���a���e Re�,=�e�ed Y/N Fee C��.e�, Y/N
Add.ez, L��P���#
ELECTRICIAN Company
s,9�a���� Re9, �e.ed Y/N Fee C���e�� Y/N
Ad�.�„ L�e„=e#
PLUMBER
C�mpany
S�g����.E R�9,=�e«d Y/N F�e C�.�e�� Y/N
A�n��„ L.�e.,,P #
MECHANICAL Compa^y
s���a.�.A RPg�=�e�ed Y/N Fee c��.e�� Y/N
Adn���, L�e„=�#
oTHER JEFFERY D BURNHAM RODAN FIRE SPRINKLERS, INC.
s,��d���� Reg�P«�ed Y/N Fe�C�«e�� Y/N
AddfeSC 2501 N. 70TH ST. TAMPA FL 33619 ��«�se# 83153100012006
D��«<��,,,
Fili out appliration completeiy
�wncr[�Contraccor siqn back of application nncar�zr �Qr,copy f signea contract wirn own r�
I,o..e.$2500 a No���P o�Com m�.,�em�„��,�e�,,,��e tl(Me«a„��a�wo�k o„P.$5000)
Supply[w �z� ets oI drawin�c with ppi�cabie documen�ation
A��o,,10 14 day.,���e ��,,,a.«��.,hm��.a�da�. Pa�<<�#-oh�a�.,ed..om P� . �,�
operty Ta No e�ht[p��appraiser pnscogov cc.m)
NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to"deed" restrictions"
which may be more restrictive than County regulations I he undersigned assumes responsibility for compliance with any
applicable deed restnctions
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the ow„e� ,,as hired a �o„t�a�to� o�
contractors to underiake work, they may be required to be licensed in accordance with state and local regulations If tne
c o n t r a c�o r i s n o t I i c e n s e d a s r e q u i r e d b y I a w, b o i h t h e o w n e r a n d c o n[r a c t o r m a y b e c i t e d f o r a m i s tl e m e a n o r v i o I a t i o n
under staie law �f the owner or intended contractor are uncertain as to what licensing requirements may apply for the
ntended work, ihey are advised to contac[ihe Pasco l.ounty Building �nspection �ivision-�icensing Seciion at 727-847-
8009 Furthermore, if the owner has hired a contractor or con2raciors, he is advised to have the contractor�s) sign
portions of the "contractor Block" of this application for which they w,�� be �e=Po„=,b,e If „o,,, a= t,,e ow„e� sign as ihe
contractor, chat may be an indication thai he is not properly licensed and is noi entitled io permitting privileges in Pasco
Coun[y
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended) If „a�„at�o„ of wo�k ,s $2,500 00 0� m o�e, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and ConsumerAffairs. If the applica�t ,s someo„
other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner" prior to commencement.
- CONTRACTOR'S/OWNER'S AFFIDAVIT I cercify t„at a„ t,,e information �„ th�= applicabon �= a��„�ate a„d
that all work will be done in compliance wi[h all applicable laws regulating construction, zoning and land
development Applicaiion is hereby made to obtain a permii2o do work and installation as indicated � certify
thai no work or insiallation has com menced prior [o iss ance of a permit and that all work will be performed to
mee[ standards of all laws regulating consiruction, l�ounty and City code , zon�ng regulaiion , and lantl
development regulations in the �urisdiction � also ceriify that � understand ihat the regulations of oiher
government agencies may apply to the intendetl work, and 2hat ii is my responsibility to identify what actions �
musttake to be in compliance
If I am Lhe AGENTFORTHEOWNER, I P�om�=e ,,, 9ood fa��h �o ,,,fo�,,, zhe o�„�e� ofthe Pe�m���,�g �o„d,t�o„s setfo�th ,�
this affidavit prior 2o commencing constructron � understantl that a separate permit may be required for electrical work,
plumb�ng, s�gns, wells, pools, air cond�tion�ng, gas, or other �nstallafions noc specifically included in 2he application
A
permii �ssued shall be construed io be a license to proceed with fhe work and not as authority co violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit preventihe Uuilding Official from thereaf[er
requiring a correction of errors in plans, cons�ruction or violations of any codes Every permic �ssued shall become invalid
u n I e s s 2 h e w o r k a u i h o r i z e d b y s u c h p e r m i i i s c o m m e n c e d w i t h i n s i x m o n t h s o f p e r m i i i s s u a n c , o r i f w o r k a u t h o r i z e d b y
2 h e p e r m i t i s s u s p e n d e d o r a b a n d o n e d f o r a p e r i o tl o f s i x �6) m o n t h s a f i e r t h e t i m e t h e w o r k i o m m e n c e d A n e x t e n s i o n
m a y b e r e q u e s i e d, i n w r i t�n g, f r o m t h e U u i I d i n g �f f i c i a l f o r a p e r i o d n o t t o e x c e e d n i n e t y �9�)cd a y s a n d w i I 1 d e m o n s t r a t e
�u s t i f i a b l e c a u s e f o r t h e e x i e n s�o n �f w o r k c e a s e s f o r n i n e[y �J�) c o n s e c u t i v e d a y s, t h e�o b i s c o n s�d e r e d a b a n d o n e d
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F S 117 03)
OWNER OR AGENT CONTRACTOR `� /� �------
Subscribe�l antl sworn to �or affirmed) beforr me tM1is ub�cribetlrantl s n t�o+/1 tl()J�befp�.�m�thi� ��
bY �� bY �'/ �r`��=ai{M' /l �N �I
Who is�arF� porsonally known co mr or has�have p�otlucrtl Who is�are personally kn r Fas/hav
,��� , prr�d�ce<1
� itlencilica[ir�n
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Comm�,=,o„ No Comm�==�o„ No ��I`if%3yL`1
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�1aR��� Notary Publk 3tate oi Floritla
. Gheryt A DuHe1t
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